Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Wentz

Individual provider Medical-Surgical Registered Nurse · NPI 1245719897

Jacqueline Wentz is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

450 Lakeville Rd
New Hyde Park, NY 11042
Phone: (516) 734-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F343519-1 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 605752 (NY)

Record details

NPI number1245719897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 19, 2018
Mailing address450 Lakeville Rd, New Hyde Park, NY 11042-1118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New Hyde Park